Evidence map›Paper›PMID 19885644›Full record

SynthesisJournal of occupational rehabilitation2010

Systematic review of the role of occupational health and safety interventions in the prevention of upper extremity musculoskeletal symptoms, signs, disorders, injuries, claims and lost time.

Carol A Kennedy, Benjamin C Amick, Jack T Dennerlein, Shelley Brewer, Starly Catli, Renee Williams, Consol Serra, Fred Gerr, Emma Irvin, Quenby Mahood and 4 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of occupational rehabilitation, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 14 pooled it
5.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 14 syntheses or guidelines pooled it, 167 citations in OpenAlex.

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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 3 countries.

Carol A KennedyThe Institute for Work & Health, 481 University Avenue, Toronto, Ontario, Canada. ckennedy@iwh.on.ca
Benjamin C Amick
Jack T Dennerlein
Shelley Brewer
Starly Catli
Renee Williams
Consol Serra
Fred Gerr
Emma Irvin
Quenby Mahood
Al Franzblau
Dwayne Van Eerd
Bradley Evanoff
David Rempel
Institute for Work & Health · CAAjuntament de Barcelona · ESHarvard University · USMcMaster University · CAUniversity of California, San Francisco · USUniversity of Iowa · USUniversity of Michigan–Ann Arbor · USWashington University in St. Louis · USWorkplace Safety & Insurance Board · CA

Funding

Southwest Center for Occupational and Environmental HealthT42OH008421 · OH · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI FELKNOR, SARAH A. · 2005 to 2024
$24.1M
NIOSH CDC HHS T42 OH008421
6 · The paper itself

Abstract

backgroundLittle is known about the most effective occupational health and safety (OHS) interventions to reduce upper extremity musculoskeletal disorders (MSDs) and injuries.

methodsA systematic review used a best evidence synthesis approach to address the question: "do occupational health and safety interventions have an effect on upper extremity musculoskeletal symptoms, signs, disorders, injuries, claims and lost time?"

resultsThe search identified 36 studies of sufficient methodological quality to be included in data extraction and evidence synthesis. Overall, a mixed level of evidence was found for OHS interventions. Levels of evidence for interventions associated with positive effects were: Moderate evidence for arm supports; and Limited evidence for ergonomics training plus workstation adjustments, new chair and rest breaks. Levels of evidence for interventions associated with "no effect" were: Strong evidence for workstation adjustment alone; Moderate evidence for biofeedback training and job stress management training; and Limited evidence for cognitive behavioral training. No interventions were associated with "negative effects".

conclusionIt is difficult to make strong evidenced-based recommendations about what practitioners should do to prevent or manage upper extremity MSDs. There is a paucity of high quality OHS interventions evaluating upper extremity MSDs and none focused on traumatic injury outcomes or workplace mandated pre-placement screening exams. We recommend that worksites not engage in OHS activities that include only workstation adjustments. However, when combined with ergonomics training, there is limited evidence that workstation adjustments are beneficial. A practice to consider is using arm supports to reduce upper extremity MSDs.

Indexed as

Occupational HealthUpper ExtremityHumansMusculoskeletal DiseasesOccupational DiseasesRandomized Controlled Trials as TopicWorkers' CompensationWorkplace

Identifiers

PMID19885644
OpenAlexW2065695324

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.